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She had to be isolated from other patients because of threats she made, but was now said to be responding well to treatment.

Judge Cummings said Kent, who continues to deny the sexual offences, had mental health problems and abused alcohol and drugs.

The judge said: “You suffered a difficult and disruptive childhood and upbringing, which included you being sexually abused by your step father over a number of years, conduct for which he is himself serving a lengthy prison sentence.

“You have a tendency to blame your mental health concerns rather than accept responsibility for your behaviour.”

Kent held her face in her hands as the judge told her to sign on the Sex Offenders Register for life.